Abstract Details

Title Oral cavity disorders in Parkinson’s disease: more than meets the eye

Topic Movement Disorders

Presentation(s) P5 - Poster Session 5 (5:30 PM-6:30 PM)

Poster/Presentation
Number 10-038

Objective The aim of this review is to describe oral health issues in Parkinson’s disease (PD) while identifying their possible etiologies and consequences on general health.

Background Oral health is often overlooked in PD, both by the patient and the medical community, who often focus on PD symptoms considered to be more burdensome, like motor disorders. Despite interprofessional collaboration with nutritionists or physiotherapists, effective oral health collaborative practice with movement disorders specialists is not routinely established. Yet, oral health problems can trigger decline in quality of life and exacerbate non motor symptoms such as pain, dysphagia and gastrointestinal disorders.

Design/Methods A nonsystematic database (MEDLINE, NCBI, PubMed, Google Scholar,) search for English articles with the terms Parkinson’s disease, oral disorders, oral health, dental and/or dentistry was undertaken. Pragmatic searches using references found in these articles supplemented the analysis.

Results Conflicting results were found across literature, mainly due to discrepancies between disease severity, drug regimens and study designs. Generally, PD patients appear to have a weakened oral status and more difficulties in performing oral hygiene care compared to matched controls. In PD, oral cavity disorders are both drug-induced and PD-related, resulting from motor (abnormal posture, muscle tone, tremor & dyskinesia) and nonmotor (cognitive & neuropsychiatric disorders) symptoms. They put patients at risk for other disorders (infections, orofacial pain, weight loss), reduce their quality of life (discomfort, social stigma) and increase their isolation (anxiety, communication issues). Prevention and management strategies are discussed, including therapeutic education, restoration, pharmacological and non-pharmacological treatments.

Conclusions The physical, behavioral and iatrogenic patterns associated with PD have an overall detrimental effect on patients’ oral and general health. Oral health in PD is an overlooked but critical issue that merits further attention. Interprofessional education, prevention, management and follow-up strategies need to be implemented to improve PD patients’ overall comfort and condition.

Authors/Disclosures
PRESENTER	No disclosure on file
	No disclosure on file
	No disclosure on file
	No disclosure on file
Marc Verin (CHU Hopital Pontchaillou)	Mr. Verin has nothing to disclose.

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